Otto, Jason L
Otto, Jason L is an individual health care provider with primary practice located at 61 S Gould St , Sheridan WY 82801-6304. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Otto, Jason L can be contacted via phone (307) 675-2650.Contact Information
Primary practice address
61 S Gould St
Sheridan WY 82801-6304
Phone: (307) 675-2650
Fax: (307) 675-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1558697177 |
|---|---|
| LBN Legal business name | Otto, Jason L |
| Credentials | MPAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2009 |
| Last updated | Oct 20th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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